Delaware used an execution protocol written by now-discredited Holocaust denier Fred Leuchter.

The state of Ohio follows its written execution protocol.

The execution protocol is defined on the criminal procedure law, under article 212:

An appeal to the U.S. Supreme Court over the constitutionality of the state's execution protocol was also denied.

On December 8, 2009, Kenneth Biros became the first person executed using Ohio's new single-drug execution protocol.

Currently, seven states (Arizona, Georgia, Idaho, Ohio, South Dakota, Texas and Washington) have used the single-drug execution protocol.

Sept 2/95, Norman R. of NYC notes NY new execution protocol calls for 8 security officers, 14 witnesses, etcetera.

"Shouldn't the state of New York, bent as it is on a privatizing mission, add this humane and inexpensive option to its execution protocol?"

That day, shrouded on the stand, Doerhoff explained that he had devised the state's execution protocol without consulting anyone.

The execution protocol is completely different from the arterial examination and all the dynamic maneuvers need to be very well executed which can be a problem for less experienced examiners.